NPI 1518067446

Mesa Occupational & Sports Medicine

Organisation Exclusive Provider Organization Farmington, NM

Practice location

Address: 2700 Farmington Ave Building F and G, Farmington, NM 87401-4559
Phone: (505) 325-1100

Authorised official

Name: Jeffrey Frederick Mosley
Title: Contract Manager
Phone: (505) 325-1100

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in New Mexico →

Registry record

NPI: 1518067446
Entity type: Organization
NPI issued: 22 Sep 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.